Correction to: Religiosity and Health-Related Quality of Life: A Cross-Sectional Study on Filipino Christian Hemodialysis Patients

Journal of Religion and Health - The authors regret that the following error occurred in the original publication of the article. The corrected text has been presented with this erratum. In the...     

Pilot Evaluation of a Tablet-Based Application to Improve Quality of Care in Child Mental Health Treatment

Mental health systems need scalable solutions that can reduce the efficacy–effectiveness gap and improve mental health outcomes in community mental health service settings. Two major challenges to delivery of high-quality care are providers’ fidelity to evidence-based treatment models and children’s and caregivers’ engagement in the treatment process. We developed a novel, tablet-based application designed to enhance via technology the quality of delivery of trauma-focused cognitive-behavioral therapy (TF-CBT). We piloted its use in four community mental health service organizations using a blocked randomized controlled trial to examine the feasibility of implementing tablet-facilitated TF-CBT versus standard TF-CBT with 13 providers and 27 families. Provider fidelity and child engagement in treatment were observationally measured via session audio recording. Parent and child perceptions of the tablet application were assessed using structured interviews and mixed-method analyses. Providers actively and appropriately used tablet TF-CBT to facilitate treatment activities. Providers and families expressed high satisfaction with its use, demonstrating acceptability of this approach. Youth and caregivers in both conditions reported high alliance with their providers. Overall, we found that tablet-facilitated treatment is accepted by providers and families and may be integrated into mental health treatment with minimal training. Further study is needed to examine the extent to which technology-based applications may enhance the reach, quality, and clinical outcomes of mental health treatment delivered to children and families.     

Assessing Quality of Life in an Obesity Observational Study: a Structural Equation Modeling Approach

Applied Research in Quality of Life - Quality of life (QOL) of a patient is usually computed as the (weighted) sum of items and analysed by means of multiple regressions to evaluate its...     

加强管理，改善流动人口卫生保健服务利用

为改善流动人口卫生保健服务利用水平,通过现场调查、焦点组访谈和二级资料提取等定性定量研究方法收集上海流动人口卫生保健服务利用情况的资料。在对上海流动人口卫生保健服务利用现状、存在的问题和利用障碍进行了分析的基础上,提出了加强管理,改善流动人口卫生保健服务利用的8项建议。     

加强管理,改善流动人口卫生保健服务利用

为改善流动人口卫生保健服务利用水平,通过现场调查、焦点组访谈和二级资料提取等定性定量研究方法收集上海流动人口卫生保健服务利用情况的资料.在对上海流动人口卫生保健服务利用现状、存在的问题和利用障碍进行了分析的基础上,提出了加强管理,改善流动人口卫生保健服务利用的8项建议.     

A Palliative Approach to Spirituality in Residential Aged Care

SUMMARY

This paper describes how a palliative approach to care is relevant in the context of residential aged care, with specific focus on the spiritual needs of residents. Three issues are described that make attention to spirituality in residential aged care particularly challenging: effects of cognitive changes, potential threats to dignity, and uncertainties about how to provide bereavement support to the range of people who experience loss in this care context. Reflections on how residential aged care staff might better assess the spiritual needs of residents are offered with suggestions from the literature about how to sensitively respond to these needs.     

Assessing Specific Discipline Techniques: A Mixed-Methods Approach

This study explored, in a community sample of mothers of toddlers, parenting beliefs and values, to gain insight into the parent–child relationship. Acceptance of specific discipline techniques (DTs), and their actual use in daily life were examined. A mixed-methods approach comprising three different methods was used: (1) parenting beliefs and values were explored with Q-methodology; (2) acceptance of the DTs was assessed with the questionnaire Dimensions of Discipline Inventory; and (3) actual use of those DTs in daily-life incidents of discipline was documented using ecological momentary assessment for ten consecutive days. The results showed the mothers’ parenting beliefs and values reflected a warm parent–child relationship. The mothers rated explaining rules, timeout, removal of privileges, and social reinforcement as moderately to highly acceptable. However, planned ignoring received a low acceptance rating. Mothers’ high acceptability ratings of the DTs contrasted with moderate use when they were faced with their misbehaving child, with the exception of explaining rules, which was always manifested. Yelling and spanking received the lowest acceptance ratings. Nonetheless, in daily life, yelling was employed as often as timeout. These findings suggest the need for more attention to be paid to both acceptance and daily use of specific DTs in order to highlight DTs which parents may have difficulty implementing.     

社区护理病房中长期慢性病患者的照料服务机制——基于质性研究的方法

现有社区护理病房照料服务存在不能充分满足患者的深层需求、生活质量不佳的问题。访谈材料显示出由于照料者缺乏对“善终”概念的认知,患者、家属以及医护人员的三方关系中,患者处于权力的弱势地位,主体之间在讨论死亡相关问题上存在严重的脱节。患者的意愿从表达、传递、实施等环节中都存在阻碍,患者“善终”的需求无法实现。“以患者为中心”的照料理念应在现有照料服务中加以推广,通过提升社区照料质量来满足医学关系、家庭关系和患者自身利益的既定政策目标。

     

A Latent-Variable Modeling Approach to Assessing Reliability and Validity of a Creativity Instrument

ABSTRACT: A multiple-choice paper-and-pencil test was developed based on the constructs from the Torrance Test of Creative Thinking (TTCT). The rationale of this new instrument was to shorten the amount of time required for the administration and scoring of creativity tests. This instrument was translated into Spanish and administered along with the TTCT and the Villa and Auzmendi Creativity Test (VAT) to 2,270 students in Spain. Teachers' ratings of student creativity were also obtained. Using a traditional concurrent validation approach from an earlier study, we found low but significant correlations between the scores of the four subscales of the new test and the same subscales of the VAT and TTCT, as well as the students' academic achievement measures. In terms of reliability, mostly moderate (internal consistency) reliability coefficients were found for the new test. As an alternative to the traditional approach, this study employed structural equation modeling (SEM) with multiple indicators to examine the validity and reliability of the new creativity test. The results indicated that substantial improvements in the validity and reliability estimation over the traditional approaches can be made by using SEM with multiple indicators.     

A Multimethod Approach to Assessing Dependency: The Early Memory Dependency Probe

The construct validity and clinical utility of the early memory probe assessing aspects of dependency was investigated. Clinical patients' responses to the feeding, being fed, or eating probe were compared with Rorschach Oral Dependency (ROD) scale scores (Masling, Rabie, & Blondheim, 1967), as well as theoretically and empirically derived behavioral ratings. Sixty-five psychiatric patients and their therapists participated in the study. Results demonstrated moderate to strong correlations between the early memory scores and the ROD scores, thus demonstrating good concurrent validity. A moderate correlation between the early memory scores and therapists' ratings of key behavioral patterns in therapy support the predictive validity of the early memory probes. The earn memory scores also demonstrated discriminant validity when compared with Rorschach object-relational content scales.     

The Abuse of Power: A View of Sexual Misconduct in a Systemic Approach to Pastoral Care

The article explores the dynamics of transference and countertransference in hierarchical relationships which exist between clergy and lay persons, both in the parish setting, as well as in the pastoral counseling relationship. It is of utmost importance that the power differential be consciously acknowledged by pastoral caregivers so that appropriate boundaries can be exercised. All too often it is the negligent, careless, or unconscious disregard for this power dynamic by individuals providing pastoral care that has led to the sexual violations recently surfaced within our religious institutions. Acknowledgement of the imbalance of power, and its consequences for both clergy and parishioner, is essential in a systemic model of pastoral care.     

人类繁荣——平等问题研究的一种新路径

希普诺维奇从森"基于什么的平等"这一提问,提出基于某种繁荣观念的平等理论,她将之称为"平等主义的至善论"。文中,她追溯繁荣路径在社会主义者著作中的历史传统,回应包括以森、努斯鲍姆、科恩等为代表的平等主义者所持立场的局限性和至善论所面临的家长主义的指责。她认为,大多平等主义者的立场都带有某种"中立主义"或"运气平等主义"色彩,偏爱某种衡量标准,过于关注繁荣的工具,忽视繁荣本身,也无法摆脱个体责任问题。她回溯平等主义与至善论结合的历史传统、中立主义中的至善论元素,并阐明至善论所面临的家长制问题。她指出,平等主义的至善论有效地将对平等的关注落脚到繁荣或福祉本身,承诺了福祉或繁荣观念的多样性,同时又能经受住对平等理论和对美好生活理论的常见反对,恰切地保证了一种稳健的政治哲学。     

Networks of happiness: applying a Network Approach to Well-Being in the General Population

Journal of Happiness Studies - Even though well-being can be seen as a multidimensional construct, made up of a variety of interacting aspects, most studies examine total scores on well-being...     

关注肿瘤患者的心理健康,提高医患沟通质量

心理健康对于肿瘤患者来说非常重要,医生应该在治疗患者身体疾病的同时,关注他们的心理健康状态,注意医患沟通技巧.不仅有利于患者的康复,也能提高医患沟通质量,促进发展良好的医患关系.     

关注肿瘤患者的心理健康，提高医患沟通质量

心理健康对于肿瘤患者来说非常重要,医生应该在治疗患者身体疾病的同时,关注他们的心理健康状态,注意医惠沟通技巧。不仅有利于患者的康复,也能提高医患沟通质量,促进发展良好的医患关系。     

Consistent Laddering: A New Approach to Laddering Technique

This article describes a new approach to the laddering technique named consistent laddering, which is intended to mitigate certain issues found in traditional laddering, and to provide means to gain additional insights into participants’ construing. The basic idea behind consistent laddering is that the data collected in an interview is used to calculate indicators of (in)consistency, which can be inspected for guidance. A special software has been developed to assist in conducting interviews.     

A New Approach to Outreach Services: Cable Television

This article describes delivery of counseling center presentations via cable television. Uses and production of tapes are detailed.     

The Spiritual Needs and Resources of Hospitalized Primary Care Patients

Previous studies have recognized the importance of hospitalized primary care patients’ spiritual issues and needs. The sources patients consult to address these spiritual issues, including the role of their attending physician, have been largely unstudied. We sought to study patients’ internal and external resources for addressing spiritual questions, while also exploring the physician’s role in providing spiritual care. Our multicenter observational study evaluated 326 inpatients admitted to primary care physicians in four midwestern hospitals. We assessed how frequently these patients identified spiritual concerns during their hospitalization, the manner in which spiritual questions were addressed, patients’ desires for spiritual interaction, and patient outcome measures associated with spiritual care. Nearly 30% of respondents (referred to as “R/S respondents”) reported religious struggle or spiritual issues associated specifically with their hospitalization. Eight-three percent utilized internal religious coping for dealing with spiritual issues. Chaplains, clergy, or church members visited 54% of R/S respondents; 94% found those visits helpful. Family provided spiritual support to 45% of R/S respondents. Eight percent of R/S respondents desired, but only one patient actually received, spiritual interaction with their physician, even though 64% of these patients’ physicians agreed that doctors should address spiritual issues with their patients. We conclude that inpatients quite commonly utilize internal resources and quite rarely utilize physicians for addressing their spiritual issues. Spiritual caregiving is well received and is primarily accomplished by professionals, dedicated laypersons, or family members. A significantly higher percentage of R/S patients desire spiritual interaction with their physician than those who actually receive it.